Visa Reference Form (Sri Lanka)
Transcription
Visa Reference Form (Sri Lanka)
Visa Reference Form (Sri Lanka) (To be filled in by Sri Lankan nationals, Sri Lankan refugees and foreigners of Sri Lankan origin) To: High Commission of India, Colombo From: Indembassy, Paris Reference no.:FRAP___________ Date:______________ Please fill up all details/particulars in BLOCK LETTERS First name Surname Father’s name Mother’s name Spouse’ name Place of birth Date of birth in numerals and words Sex French Passport : French Titre de Voyage : Sri Lankan Passport Type of travel document (Please circle the type) Ppt /Titre de Voyage no.. Date & Place of issue Previous passport/tire de voyage no. Date & Place of Issue Present nationality Present Passport No. Date & Place of issue Details of dual nationality Since when are you resident in the country of domicile? Address in the country of domicile Present occupation Date of last visit to India and previous visa details Whether visa was ever refused? If yes, give details Address in Sri Lanka Exact purpose of visit Proposed duration of visit Number of visits(proposed) Signature of applicant Cost recovered. Grateful send us your reply at an early date by return fax/e-mail. On behalf of Mission